(3) Problem
1. Inadequate practical use of Feedback Sheet.
Every month, the laboratory staff has to work for improvement of laboratory by the comment of the feedback sheet and slides, which returned from NTC.
2. An irregular supervision
It is important to work for problem solution with supervisor of NTC at tuberculosis dispensary of AIMAG. However, a supervisor cannot periodically visit due to limited budget.
3. Techniques on smear examination should be more strengthened
The technical problem of a lab technician
II. Establishment of culture examination
(1) Significance of culture examination
1. A part of Quality Control System establishment of smear examination
2. The base of drug sensitivity test.
(2) A report of the culture examination by 1996 - 2000
Activity of NTP was completely started also in the laboratory department in 1997 and afterwards. The entire rate of Recovery rate and the rates of smear (-)/culture (+) and contamination rates obtained good results favorably every year.
Especially in last year (1990), Recovery rate showed good results of 90.6%. This may be the result of the instruction supervisor of the short period by 2 times of Ms. Fujiki.
However, all the results of this year were getting worse, especially the Recovery rate fell even to 81.0%, and the rate of contamination rose even from 2.9% to 13.0%.
Furthermore, if cultivation of NTC is dysgonic (inferior-in-strength) growth, it is pointed out by Ms. Fujiki. Now, culture examination holds some problems.
(2) Problem
These problems can be considered.
1. The problem of the temperature of incubator.
2. The problem of a culture medium
3. The problem of the cultivation method
4. The problem of sample preservation
What was investigated and understood about the above problems in these four months is reported.
